NPIMap

Organization Active NPI

Clears Clinic Corporation

  • Clinic/Center
  • Daphne, AL
National Provider Identifier
1174188650
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLEARS CLINIC CORPORATION
Practice address
28720 US Highway 98 Ste 1
Daphne, AL 36526-7268
Phone
(251) 263-3229
NPI assigned
May 9, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meredith Davis, DNP, CRNP
Title
Dr.
Phone
(251) 591-1819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

28720 US Highway 98 Ste 1
Daphne, AL 36526-7268

Mailing address

28720 US Highway 98 Ste 1
Daphne, AL 36526-7268
Phone (251) 263-3229

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1174188650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28720 US HIGHWAY 98 STE 1",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267268",
            "telephone_number": "251-263-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28720 US HIGHWAY 98 STE 1",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267268",
            "telephone_number": "251-263-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARS CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "251-591-1819",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.